Urbana Hospital
904 Scioto St., Urbana, OH · Mercy · · NPI 1144286352
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lipoprotein direct measurement ldl CPT 83721 | $45.00 | $75.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $126.60 | $211.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $82.20 | $137.00 | not published | 0 |
| Liver Function Test CPT 80076 | $106.20 | $177.00 | not published | 0 |
| Liver imaging CPT 78201 | $814.80 | $1,358.00 | not published | 0 |
| Liver imag w/vasclr flow CPT 78202 | $957.60 | $1,596.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,372.80 | $2,288.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $7.50 | $12.50 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $408.17 | $680.29 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $167.74 | $279.57 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,842.60 | $3,071.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,700.40 | $2,834.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,209.60 | $2,016.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,259.20 | $5,432.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,814.00 | $4,690.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,053.20 | $3,422.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $531.00 | $885.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $249.04 | $415.06 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $269.09 | $448.48 | not published | 0 |
| Lso full corset HCPCS L0976 | $353.77 | $589.62 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $401.51 | $669.18 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $3,970.45 | $6,617.41 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $3,065.30 | $5,108.83 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $383.24 | $638.74 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $2,364.26 | $3,940.44 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $3,207.92 | $5,346.54 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $617.19 | $1,028.65 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $678.49 | $1,130.82 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,252.16 | $3,753.60 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $145.80 | $243.00 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $185.27 | $308.78 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $215.18 | $358.64 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $1,700.40 | $2,834.00 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $209.78 | $349.63 | not published | 0 |
| Lumbar sling HCPCS L1090 | $238.10 | $396.83 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $179.40 | $299.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $362.40 | $604.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,363.20 | $2,272.00 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $45,902.46 | $76,504.10 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $787.27 | $1,312.11 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,550.40 | $2,584.00 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | $60.00 | $100.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $217.20 | $362.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $50.40 | $84.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $37.80 | $63.00 | not published | 0 |
| Magnesium CPT 83735 | $78.00 | $130.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $55.92 | $93.20 | not published | 0 |
| Malaria antibody CPT 86750 | $94.80 | $158.00 | not published | 0 |
| Mammosite ced HCPCS C1728 | $7,938.26 | $13,230.44 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $154.20 | $257.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $113.40 | $189.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $174.64 | $291.07 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $14,826.85 | $24,711.41 | not published | 0 |
| Mastoids complete CPT 70130 | $216.00 | $360.00 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $20,298.34 | $33,830.57 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $85,260.91 | $142,101.51 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $103.80 | $173.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $48.60 | $81.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $183.60 | $306.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $129.00 | $215.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $133.20 | $222.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $103.20 | $172.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $97.80 | $163.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $352.80 | $588.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $301.20 | $502.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $226.20 | $377.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,069.60 | $5,116.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $332.40 | $554.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $175.80 | $293.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $120.60 | $201.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $96.00 | $160.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $52.20 | $87.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $51.60 | $86.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $385.80 | $643.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $310.20 | $517.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $58.80 | $98.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $40.80 | $68.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $139.20 | $232.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $25.20 | $42.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $51.60 | $86.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $51.00 | $85.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $327.00 | $545.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $122.40 | $204.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $28.80 | $48.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $124.20 | $207.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $153.60 | $256.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $26.40 | $44.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $653.40 | $1,089.00 | not published | 0 |
| Mayo chromium CPT 82495 | $17.40 | $29.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $66.00 | $110.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $42.60 | $71.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $161.40 | $269.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $80.40 | $134.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $60.60 | $101.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $187.20 | $312.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $613.20 | $1,022.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $262.80 | $438.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $152.40 | $254.00 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $55.80 | $93.00 | not published | 0 |
| Mayo efpo chloride stool CPT 82438 | $14.40 | $24.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.